OUR EXPERIENCE INLICHTENSTEINTENSION FREE HERNIOPLASTY

DR.JANAKIRAMA S J; DR.MOHAMMED SHAHID ALI; DR.S I S KHADRI; DR.T KEMPARAJ; DR.VIVEK S REVANKAR; DR.JOSEPH MATHEW; DR.FARMAN ALI

Volume : V, Issue : V, May - 2015

OUR EXPERIENCE INLICHTENSTEINTENSION FREE HERNIOPLASTY

Dr. Janakirama S J, Dr. Mohammed Shahid Ali, Dr. S I S Khadri, Dr. T Kemparaj, Dr. Vivek S Revankar, Dr. Joseph Mathew, Dr. Farman Ali

Abstract :

INTRODUCTION:Inguinal Hernias are one of the most common conditions a general surgeon comes across in daily practice. The present gold standard in treatment, the Lichtenstein tension–free mesh repair is associated with fewer complications and low recurrence rates. This study aims to evaluate the Lichtenstein tension free mesh repair with regard to the operating time, postoperative pain, duration of hospital stay, and complications associated including recurrence.MATERIALS AND METHODS: 407 patients with inguinal hernia admitted under a single surgical unit and having undergone the open Lichtenstein tension–free hernioplasty from 2006 to 2014 were included in this prospective study. RESULTS: A total of 456 mesh repairs were performed. Of these, indirect hernias accounted for 66.2% of cases (302 cases), direct in 25.0% (114 cases), sliding hernias in 2.4% (11 cases) and the pantaloon variety in 6.4% (29 cases). Significant postoperative complications included acute retention of urine (20.4%), transient testicular swelling (9.8%) and superficial surgical site infection (7.6%). Recurrence was noted in 3 patients at the end of the 1 year follow up period (0.7%).CONCLUSION: Lichtenstein Tension–free hernioplasty is a simple, cost–effective treatment modality for inguinal hernias with a low incidence of complications and recurrence and early return to daily activity.